Zaumoyo wamlomo zimakhudzana mwachindunji ndi zomwe zimachitika m'thupi. Izi ndizowona makamaka kwa anthu omwe ali ndi matenda ashuga. Ngati magazi a shuga akwezedwa kwa nthawi yayitali, izi zimakhudza mkhalidwe wamkamwa, mano ndi pakamwa, komanso mosemphanitsa - pakuchirikiza thanzi lawo, mumathandizanso matenda oyambitsidwa.
Tidafunsa a Lyudmila Pavlovna Gridneva, dokotala wodziwika bwino wa chipatala cha Samara Dental Clinic No. 3 SBIH, kuti anene momwe angasamalire moyenera patsekeke la mkamwa m'matenda a shuga, muzochitika ziti komanso kangati kuti muwonane ndi dotolo wamano komanso momwe mungakonzekerere kukaonana ndi dokotala.
Ndi mavuto ati amkamwa omwe angachitike ndi matenda ashuga?
Ngati matenda ashuga amalipiridwa, ndiye kuti, shuga amasungidwa bwino, ndiye kuti, monga lamulo, odwala alibe chilichonse cham'mlomo, chomwe chimalumikizidwa makamaka ndi matenda a shuga. Pokhala ndi matenda osokoneza bongo osakwanira bwino, ma caries amatha kuchitika, kuphatikiza zoperewera zingapo, zilonda zam'mimba, zilonda zam'mimba komanso mpweya woipa - madandaulowa, ayenera kufunsidwa ndi katswiri.
Anthu omwe ali ndi matenda ashuga nthawi zambiri amadandaula kuti mano awo akutsika, akuwulula khosi la dzino. M'malo mwake, izi zimachepetsa minofu mafupa kuzungulira dzino, ndipo pambuyo pake chingamu chimatsikira. Izi zimadzetsa kutupa. Ichi ndichifukwa chake muyenera kusamalira mano anu, kuchita ukhondo pakatswiri wamano ndikutsatira malingaliro ake onse. Pokhapokha ngati izi, matendawa sapita patsogolo, ndipo wodwala adzakhala ndi mwayi wopulumutsa mano.
Kodi ukhondo wabwino ndi chiyani?
Izi ndizomwe zimachitika pampando wamano. Monga lamulo, ziribe kanthu kuti wodwalayo amasamalira bwanji mkamwa wamkamwa, ngati pali kutupa kapena mavuto ena - magazi, kukhathamiritsa - mawonekedwe ndi mawonekedwe a tartar pamano. Kulimbitsa kwamphamvu kwambiri m'matamu, mafomu amtunduwu, ndipo wodwalayo, ngakhale atalemba pa intaneti, angathe kupirira nawo payekha, koma ndi dokotala wamano yekha amene amatha kuchita izi. Kutsuka madongosolo a mano ndi ma buku komanso mothandizidwa ndi ultrasound. Ma Manu amapangidwa pogwiritsa ntchito zida, imawoneka yowopsa. Kutsuka kwa akupanga kumakhala kofatsa komanso kwapamwamba kwambiri, kumakupatsani mwayi wochotsa mano ndi mano, osati pamwamba pa chingamu, komanso pansi pake. Pambuyo pakutsuka, khosi la mano liyenera kupukutidwa kuti lisapunthike pamiyala ndikupanga tartar yatsopano, kenako kuphatikiza kumagwiritsidwa ntchito kulimbitsa minofu ya dzino, kuthetsa kukhudzidwa komanso ngati gawo lothandizira anti-kutupa. Ngati pali matumba otchedwa ozama a periodontal (malo omwe mano amasiya mano), akuyenera kulandira chithandizo, monga caries, ndipo pali njira zingapo zochitira izi.
Kodi ndingakhale kangati kupita ku ofesi yama mano kuti ndikadwala matenda ashuga?
Ngati odwala adanenapo kale matenda a chingamu, mwachitsanzo, periodontitis yayikulu, timawaika paziwonetsero ndi periodontist ndipo koyamba muwoneke kamodzi miyezi itatu. Monga lamulo, kukhazikitsa njirayi, tiyenera kuyeretsa mobwerezabwereza ndi chithandizo. Pakatha pafupifupi zaka 2 - 2,5, ngati wodwala agwirizana ndi zonse zomwe dokotala amafotokoza, timayamba kumuwona kamodzi miyezi isanu ndi umodzi. Ngati palibe matenda oopsa, ndikokwanira kukaonana ndi dotolo wamano kamodzi miyezi isanu ndi umodzi - pofuna kupewa komanso kukonza.
Kodi mungakonzekere bwanji ulendo wanu wamano kwa munthu yemwe ali ndi matenda ashuga?
Apa mutha kupereka malingaliro angapo:
- Mukafika kwa dotolo wamano, chinthu choyamba chomwe muyenera kuchita ndi kunena za matenda anu osachiritsika komanso, makamaka, matenda ashuga.
- Wodwala ayenera kukhala wodzaza. Anthu omwe amagwiritsa ntchito mankhwala a insulin kapena hypoglycemic ayenera kudya ndi kupita kwa dokotala wamano pakati pa chakudya ndi mankhwala okhudzana, ndiye kuti ndikubwereza, osati pamimba yopanda kanthu!
- Wodwala yemwe ali ndi matenda ashuga ayenera kukhala ndi zakudya zamaofesi msanga kuofesi ya mano, makamaka kumwa, mwachitsanzo, tiyi wokoma kapena madzi. Ngati munthu abwera ndi shuga wambiri, nthawi zambiri sipakhala zovuta paphwandopo, koma ngati atangomwa shuga mwadzidzidzi (izi zitha kukhala zovuta kuzitsutsa kapena kusangalala), ndiye kuti muimitse msanga kuukira kwa hypoglycemia, muyenera kuthanso kutenga kanthu mwachangu.
- Ngati munthu ali ndi mtundu woyamba wa matenda ashuga, kuwonjezera apo, ayenera kukhala ndi glucometer ndi iye kuti pakuwakayikira koyamba azitha kudziwa kuchuluka kwa shuga - ngati kuli kochepa, ndiye kuti muyenera kumwa maswiti, ngati abwinobwino - mutha kungopuma.
- Ngati munthu wapanga dzino lakonzedwa, ndiye kuti masiku awiri asanapite kwa dokotala, opaleshoniyo amayamba, omwe amalembedwa ndi adokotala pasadakhale (ndipo yekhayo!), Ndipo patsiku lachitatu mano atachotsedwa, phwando limapitilirabe. Chifukwa chake, pokonzekera kuphipha mano, onetsetsani kuti muchenjeze adokotala kuti muli ndi matenda ashuga. Ngati kuchotsa kwa mano mwadzidzidzi kumafunikira wodwala yemwe ali ndi matenda osokoneza bongo, ndipo, monga lamulo, amakumana ndi zovuta, amamuthandiza ndikofunikira kuti apereke mankhwala.
Momwe mungasamalire zamkati mwanu kunyumba ndi matenda ashuga?
Zomwe zimayera pakamwa pa anthu omwe ali ndi matenda ashuga ndizosiyana pang'ono ndi ukhondo wa iwo omwe alibe shuga.
- Muyenera kutsuka mano anu kawiri patsiku - mukatha kudya kadzutsa komanso musanagone - kugwiritsa ntchito mankhwala opaka mano ndipo, mwina, ziphuphu zomwe zilibe mowa, kuti musangodze nembanemba.
- Mukamaliza kudya, inunso muyenera kutsuka pakamwa panu.
- Ngati pakamwa pouma pakumvedwa masana kapena usiku ndikulumikizidwa ndi matenda oyamba ndi fungus, mutha kutsuka pakamwa panu ndi madzi abwinobwino akumwa popanda mpweya kuti umunyowetse.
- Tikulimbikitsidwanso kugwiritsa ntchito chingamu chopanda shuga pambuyo podya kwa mphindi 15 pakukonzekera pakamwa, komanso malovu, kuti pH yamkamwa itheke kwambiri ndipo izi zimapangitsa kuti ma caries asachitike. Kuphatikiza apo, kutafuna kumathandizira kupanga madzi am'mimba, omwe amayendetsa bwino chimbudzi. Kungofufuza chingamu sikuli koyenera, pokhapokha ngati akudya.
Ngakhale patakhala zovuta zilizonse ndi mano, anthu omwe ali ndi matenda ashuga, monga wina aliyense, amawonetsedwa lamba wamkati. Tsitsi lofewa limalimbikitsidwa kuti lizigwiritsidwa ntchito pokhapokha ngati pakuloweka mkamwa wamkamwa, limodzi ndi zilonda zam'mimba ndi zotupa, kuti musavulaze pakamwa. Koma kuphatikizira ndi chithandizo cha mano. Wodwalayo akangotuluka pachakudya chowawa, msalo wamkamwa uyeneranso kukhala wowuma pakatikati, chifukwa chokhacho chimapereka ukhondo wabwino ndikuchotsetsa chidacho bwino.
Ngakhale ulusi, kapena maburashi, ndiye kuti, zinthu zaukhondo zilizonse zomwe zimapangidwa ndi akatswiri azachipatala kuti azitsuka pakamwa, siziperekedwa kwa odwala omwe ali ndi matenda ashuga. Amathandizira kusamalira mkamwa mwanu. Madokotala a mano samalimbikitsa kuti musagwiritse ntchito mano okhaokha - ichi sichinthu chotsuka mano, chifukwa mano amalumikizana ndi mano.
Zikomo kwambiri chifukwa cha mayankho osangalatsa ndi othandiza!
Chingwe cha Dokotala Wam'magazi a Odwala Mano
Makamaka kwa anthu omwe ali ndi matenda ashuga, kampani ya ku Russia Avanta, yomwe idzakhale ndi zaka 75 mu 2018, yatulutsa mzere wapadera wazinthu za DIADENT. Zopangira mano komanso zogwira ntchito pafupipafupi komanso ma rinses omwe amagwira ntchito komanso ozungulira kuchokera ku mzere wa DIADENT amalimbikitsidwa pazizindikiro izi:
- kamwa yowuma
- kuchiritsa koyipa kwa mucosa ndi mano;
- kuchuluka kwa dzino;
- mpweya woipa;
- ma caries ambiri;
- chiopsezo chotenga matenda, kuphatikizapo fungal, matenda.
Kusamalira pakamwa tsiku lililonse kwa matenda ashuga adapanga zino ndikutsuka pafupipafupi. Ntchito yawo yayikulu ndikuwathandiza kuwonjezera chitetezo chokwanira ndikubwezeretsa ndikukhalanso ndi zakudya m'thupi pakamwa.
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Kwa chisamaliro chokwanira chamkamwa cha kutukuta kwa chingamu ndi magazi, komanso munthawi yowonjezera matenda a chiseyeye, cholowa cha mano ndi ziwengo za ziwengo za Asset DIADENT cholinga chake. Pamodzi, othandizira awa ali ndi mphamvu yothandizira antibacterial, amachepetsa kutupa ndikulimbitsa minofu yofewa mkamwa.
Monga gawo la dzino lothandizira, gawo lothandizira antibacterial lomwe silimawuma mucous nembanemba ndipo limalepheretsa kuchitika kwa plaque imaphatikizidwa ndi antiseptic ndi hemostatic zovuta zamafuta ofunikira, aluminium lactate ndi thymol, komanso yotonthoza komanso yotulutsa kuchokera ku mankhwala a chamomile. Rinser Asset kuchokera ku DIADENT mndandanda uli ndi zinthu zamagetsi komanso ma antibacterial, omwe amathandizira ndi anti-yotupa zovuta za eucalyptus ndi mafuta a mtengo wa tiyi.
